1992, 06-19 Permit App: 92004533 Heat PumpL&"5 8- -a.)`(-7
JOB STREET ADDRESS:
MECHANICAL PERMIT APPLICATION FORM
InforrrItIon Worksheet
S. /a? / 7 40 e a rr
CITY/STATE/ZIP: ,c;c4674
OWNER: /?t, e 11 e r-742
PARCEL NUMBER:
PHONE NUMBER:
Ck-D - LAS -33
(.0-ff (
9.°2 5/tsi
-
MAILING ADDRESS:
(Street) (City/State) (Zip)
CONTRACTOR: AIRE VALLEY HEATING & cooling LICENSE NUMBER: AIREVHI141OH
PHONE NUMBER: 924-0018
MAILING ADDRESS: N. 521 Ella Rd. Spokane, WA 99212
(Street) - (City/State)
MECHANICAL WORKSHEET/FEE SCHEDULE
DESCRIPTION
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS),..
;wOODSTOVEili4SERte,, ..
GAS WATER HEATER
GAS EQUIPM ENTc<100,000: BTU: (INCLUDES It)
GAS EQUIPMENT +100.000 BTU DUCTWORK)
GAS PIPING (EA OUTLET)
BOILER/REFRIG 1-100M BTU
,BOILER/REFRIQ1101400NISTU44-:1;-2.;•„••••,::.:1;•:..:;.1R;
BOILER/REFRIG 501-1,000M BTU
BOILER/FIEFRIG•1;0001AL750M-13TU:,-±•:‘'..!
BOILER/REFRIG +1,750M BTU
•HEAIPUMP•&:AIWCONCITIONEP1'0-3 TONS '
HEAT PUMP & AIR CONDITIONER 3-15 TONS
• iHEATROMP&.AIRr.CtiNCITIONER-154titONSI•:}'•::•':,:•-•,;:,;.:,„
HEAT PUMP & AIR CONDITIONER 30-50 TONS
;HEAT PUMP & AIR.CONPITIONER.1+50.TON
VENTILATING FANS
EVAPORATIVE COOLERS
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD)
TYPE -11.0:500.:137:505.M7.0,77-717:5;
CLOTHES DRYER
RANGE '4
GAS LOG
;MISCELLANEOUS ootCOVERED. ELSEWHERE
. . .
UNLISTED GAS APPLIANCE <400,000 BTU
ULINSTEEY.Okei../44kLiMdt.3/4•50,609 STU
USED APPLIANCE <400,000.BTU
USED 'APPLIANCE ,..•
- AIR HANDLER <10,000 CFM
AIR HANDLER 10,000 OEM....
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE 42/14,
(ZIp)
NUMBER
OF UNITS
X EACH
UNIT
= AMOUNT
x10.00 -
x 26.00 ..
x10.00 -
x 12.00 n
•
x 15.00 ./
x 1.00 .1
x 12.00 ...
•
x 20.00 .1
x 25.00 In
x35.00 a
x 60.00 ..
x 12.00 ...
x 20.00 ...
x 25.00 ..
x35.00 a
x60.00 ..
x10.00 n
x50.00 15
x 10.00 1.1
x10.00 =
x 10.00 ..
•
/
/0?
•
•
x 10.00 =
x10.00
x 50.00 a
x100.00 =•
x 50.00 a
x100.00 a
x 12.00 a
x 15.00 a
SUBTOTAL
$ 42.00
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
a$ 3 7. oo
Spokane County Division of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509)456-3675